Loan Application
To apply for one of our loans please fill in the loan application form below.
 
Name and Address
Title:
Surname:
First Names:
Address:
Telephone (private):
 
Personal Details
Date of Birth (dd/mm/yyyy):
Martial Status:
Number of Dependants: Ages:
Partners Full Name:
Date of Birth (dd/mm/yyyy):
Your Next of Kin:
Address:
Relationship:
Personal Contact: Phone:
Drivers Licence No:
Bank: Account No:
 
Employment Details
  Applicant: Spouse/Partner:
Occupation:
Current Employer:
Name:
Address:
Telephone (Bus):
Time there:
If you have worked for the above employer for less than 2 years, who was your previous employer?
Name:
Address:
Telephone (Bus):
Time there:
Type of Benefit:
Payment Frequency:
Next Pay Due (dd/mm/yyyy):
 
Residential Details
How long have you lived at your current Address?
Is your current address:
If rented, landlord's Name: Phone:
Previous address:
How long there?
 
Vehicle Details
Make Model:
Year Kms:
Registration number CC rating:
   
Insured with:
 
Guarantor (if required)
Name:
Date of Birth (dd/mm/yyyy):
Address:
Telephone: (Day) (Night)
 
Financial Details
Income (monthly, after tax): Assets:
Applicant: Home:
Partner: Contents:
Boarders: Vehicles:
Other: Other:
 
Total: Total:
 
Expenses (monthly): Liabilities:
Rent/Mortgage: Mortgage:
Board: HP's:
Rates/Insurance: Other:
HP's:  
Car Repay: Total:
Car Running:  
Food:  
Power:  
Telephone:  
Entertainment:  
Other:  
 
Total:  
 
Credit History
Do you or your spouse/partner have or have had:
A personal loan with any other finance company:
Goods on hire purchase:
Car Loan:
Company: Payments $
    Current
Company: Payments $
    Current
 
Declaration

1.  Loan Amount and Term

I/we apply for a loan of $ over a term of months/year(s)

2. Privacy Act 1993

I/We understand that Cambridge Advances Limited is asking me for personal information about me/us, in the completion of this Loan Application, for the purposes of enabling Cambridge Advances Limited to check my/our credit worthiness and to fully consider whether to grant the loan applied for in this Loan Application. I/we authorise Cambridge Advances Limited to supply the personal information collected by it to Baycorp Advantage or to any other credit reporting service (collectively referred to as “Credit Reporting Services”). I/we authorise the Credit Reporting Service:

(a) to give Cambridge Advances Limited information about me/us for the above purposes; and
(b) to hold the personal information on its systems and use it to provide its credit reporting service; and
(c) to give its other customers, using its credit reporting service, information held about me/us.

I/We authorise Cambridge Advances Limited to use the Credit Reporting Service in the future for the purposes related to the provision of credit to me/us. This may include using the Credit Reporting Service’s monitoring services to receive updates if any of the information held about me/us changes. If I/We default in any of my/our loan repayment obligations to you, information about that default or those defaults may be given to the Credit Reporting Service, and the Credit Reporting Service may give information about my/our default(s) to other customers of the Credit Reporting Service.

I/We further authorise Cambridge Advances Limited to contact any finance company, credit provider, my/our employer(s), accountant or any other entity (the details of which I/we have supplied to Cambridge Advances Limited) in order to obtain such personal and financial information about me/us for the above purposes and for the purpose of assisting with the enforcement of the repayment of any loan granted by Cambridge Advances Limited to me/us.
I/We further authorise Cambridge Advances Limited to produce this authority to any of the entities specified above. I/We acknowledge that pursuant to the Privacy Act 1993 I/we am/are entitled to have access to, and request the correction of, information held about me/us by Cambridge Advances Limited and/or any Credit Reporting Service.

Declaration

I/We certify:
(a)           that the above particulars are true and correct; and
(b)           that I/we are 18 years of age or older; and
(c)           that I/we am/are not an undischarged bankrupt; and
(d)          that I/we have read and fully understood this Loan Agreement

 
Date: 06 Feb 2012 Signature:
Signature:
 
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